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Questions and Answers

Flashcards

What is our circadian rhythm?

24 hour clock

  • influences patterns of biological and behavioral functions
  • predictable changing of body temp, heart rate, bp, hormones and mood
  • impacted by light, temp, social activities and work routines

What is the location of major sleep center?

hypothalamus

what are the two processes that regulate sleep/wake cycles?

homeostatic process: regulates length and depth of sleep circadian rhythm: influences time and duration of sleep/wake cycles

How long should a normal presleep period be for an adult?

10 to 30 minutes; however if someone has trouble might take an hour

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once asleep, person usually passes through how many complete sleep cycles?

4 to 6

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Each complete sleep schedule consists of how many stages?

three stages of nonrapid eye movement (NREM) sleep and a period of rapid eye movement (REM) sleep for a total of 90-110 minutes

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Quality of sleep from stage ___ through stage ____ becomes increasingly deep

1, 3

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What stages are we in light sleep?

1 and 2

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What stages are we in deep sleep?

Stage 3

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Explain how sleep restores biological functions

  • decreased heart rate, respirations, temp, blood pressure, muscle tone
  • release of human growth hormone for repair and renewal of cells
  • protein synthesis and cell division for tissue renewal
  • basal metabolic rate lowers to conserve energy supply
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How does sleep help memory storage and learning

  • REM sleep is important for early brain development, congnition, and memory
  • Changes in brain associated with memory storage and learning
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What can sleep deprivation and sleep disorders do to your body?

  • impacts immune function
  • impacts metabolism
  • can cause confusion
  • can lead to altered bodily functions (mood, memory)
  • can lead to chronic diseases (diabetes, hypertension, obesity, depression)
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When do dreams occur?

during NREM and REM

  • dreams during REM stage are more vivid and elaborate
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What are some diseases that can impact trouble falling or staying asleep?

thyroid disease, restless leg syndrome

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What diseases cause early morning awakening?

hypertension

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What diseases cause frequent arousals?

heart failure, peptic ulcer disease (heartburn)

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Left sided heart failure frequently sleep with

More pillows, because it helps them breathe better

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Why do older adults have frequent urination throughout night

this is called nocturia and it is due to a reduced bladder tone

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what is hypersomnolence

excessive sleepiness

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What are some lab studies that are used for diagonse of sleep disorders?

  • EEG (brain wave)
  • ECG (heart rhythm)
  • EOG (monitors ocular)
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What is insomnia?

  • difficulty falling asleep, frequent awakenings, or short sleep
  • can be transient, recurrent or chronic
  • often signals underlying physical or psychological disorder
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What is sleep apena?

  • lack of airflow through nose/mouth for 10 seconds up to 1-2 minutes when sleeping
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What is obstructive sleep apena (OSA)

  • airway blocked when muscles relax during sleep
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What is control sleep apena (CSA)

dysfunction of respiratory center in the brain

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Many people with sleep apena also have

hypertension

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What is narcolepsy?

  • dysfunction of processes that regulate sleep and wake states
  • fall asleep uncontrollably at inappropriate times
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what are some symptoms of narcolepsy?

  • cataplexy (sudden muscle weakness during intense emotions)
  • sleep paralysis (unable to move or talk just before walking or falling asleep)
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what is sleep deprivation?

  • insufficent or disrupted sleep- acute or chronic
  • emotional stress, meds, env disturbances
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What are parasomnias?

  • sleep problems more common in children
  • sudden infant death syndrome (SIDS), somnambulism (sleep walking), night terrors, nightmares, nocturnal enuresis (bed-wetting, body rocking, bruxism (teeth grinding)
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Neonates sleep how many hours a day?

16

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Infants sleep how many hours at night plus naps?

15 hours per day

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Toddlers sleep around

12 hours a day

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Preschoolers sleep around

12 hours a night

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School age sleep around

9 to 12 hours

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Adolescents sleep around

8-10 hours but often get less than 7

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Young adults sleep around

6 to 8 1/2 hours

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What are some physical illnesses that affect sleep?

-- hypertensive, respiratoy, musculoskeltal, chronic illness, GI, nausea

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What are some things nurses can do to help sleep?

  • Ask usual sleep patterns, sleep disturbances, bedtime routines and preferences
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